Nay Pyi Taw Regional Public health Department

ANNUAL PROGRAMME REVIEW OF

NEWBORN AND CHILD HEALTH DEVELOPMENT

Dr Yee Mon Cho

Team leader (Nutrition)
Nay Pyi Taw Regional Public health Department
Union Territory , Nay Pyi Taw
(24.12.2020)
 Union Territory , Nay Pyi Taw
Total population = 11321543
Number of townships = 8 tsp
U1 population = 4578
U5 population = 92712
Estimate Pregnancy = 18862
Age(15-49) years women pop; =32704
 Review process
• Date of Review conduct
(15.12.2020 to 16.12.2020)

• Participants in Review Team

Member (30)

• No. of township involved (8 ) tsp

 Step 1:Impact indicator status and Trend
National Level State/Regional Level

  Health Status Indicator Recent Value

Recent
Baseline Source of Baseline Source
Target Value Target 2020
(2018) Data (2018) of Data
(2019) 2019 (up to
Q2)
16
Newborn mortality rate (NSP  HMIS
1 23 22 UNIGME  11 10 11.5  18.2
(per 1,000 live births) 2015-
2018)
30
Infant mortality rate (NSP
2 37 36 UNIGME  15  14  15.9 22  
(per 1,000 live births) 2015-
2018)
39
Under five mortality rate (NSP
3 46 45 UNIGME  17  17  19  31.7  
(per 1,000 live births) 2015-
2018)
Step 2A: THE OUTCOME INDICATORS (COVERAGE
OF TRACER INTERVENTIONS)
• Present on findings of Low Performing Townships
• Present on Low Performing Interventions
• Present on effect of COVID-19 on intervention coverage

• Using graphs
 Step 2A: THE OUTCOME INDICATORS (COVERAGE OF
TRACER INTERVENTIONS)
120
100
100 97
92
89 87

80

60 53
43 %AN care(onevisit)
40 35 34 34 %ANcare4 or more visit
28 26
25 25 24 25 %IDR
22 21 22 22
19
20 17
11
9

0
 Step 2A: THE OUTCOME INDICATORS (COVERAGE OF
TRACER INTERVENTIONS)
99 100
96 96
100 91
85
90
77
80
70 63 %PN care
60 49 % of receiving bag and mask
50 42
45 resuscitation
39
40 30 31 % of newborn receiving
30 23 22 22 breastfeeding withing 1
16 18 18 hour
20
8 6
10 2 2
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 Step 2A: THE OUTCOME INDICATORS (COVERAGE OF
TRACER INTERVENTIONS)
120
100 100 100 100
100
83 83
80 75

63
60 % of newborn receiving cord 2
50 50
care
40 with chlorhexidine
75
23 25 25
22
18 50 % of receiving
20 Bag & Mask
21
0
0 6
 Step 2A: THE OUTCOME INDICATORS (COVERAGE OF
TRACER INTERVENTIONS)
1800
1585
1600
1400
1200
1000
809
800
600 509 # of U5 treated for Diarrhoea
446 Series 3
400 290
207 173
200 127
77 99 100 100 100 100 100 99
0
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 Step 2A: THE OUTCOME INDICATORS (COVERAGE OF
TRACER INTERVENTIONS)
800
700 99

600 606

500
400
100
300 Series 3
252
200 # of U5 treated for pneumonia
77
100 99
100 96 99
0 100
30 16
0 10 0
 Present on effect of COVID- 19 on intervention coverage
100
92
89 90
90
80 78 78

70 66 67
63
61
60 58 58
56 2019 Q2
50 2020 Q2
2019 Q3
40
20202 Q3
30
30 24 24
21.3
20
10
0
%of AN care %of SBA %of IDR %of receiving bag&mask
Present on effect of COVID- 19 on intervention coverage
120

99 99 100 99
100 95

79
80
69
67 2019Q2
60 58 56 58 2020Q2
52
2019Q3
20202Q3
40

20

0
%of newborncare within1hr %of KMC %of ORT %of antibiotic
Present on effect of COVID- 19 on intervention coverage
120

100 100 100

100
89

78 78
80
2019Q2
60
2020Q2
2019Q3
40 36 37
20202Q3
30

20

0
STEP 2B: BASED ON THE PACKAGES OF INTERVENTIONS, TO
REVIEW PROXY FOR SERVICE AVAILABILITY
# of # of MW #of AMW # of CHW # of Never received
TMO/SMO Appointed appointed appointed provider
appointed provider provider provider
provider

FMNCI 14 0 0 0 0
MNICI 0 252 0 0 84
ECEB/ECSB/NR 0 265 0 0 54

CCM 0 0 0 57 22
CBNBC 0 0 96 0 0
ECD 0 211 0 0 42
CDSR 0 267 0 0 47
 STEP 2B: BASED ON THE PACKAGES OF INTERVENTIONS, TO REVIEW
PROXY FOR SERVICE AVAILABILITY
Availability of SOPs, Guidelines and Training Aids (to fill the number of
packages/items received in last 3 year)
  Township
ECEB, ECSB,
FIMNCI IMNCI CCM CBNBC ECD CDSR
NR

1Pyinmana 20 49 49 50 55 0 49
2Lewei 3 93 93 0 0 93 0
3Zabuthiri 0 22 11 0 0 0 40
4Dekkina 0 7 13 0 13 0 0
5Tatkone 0 41 42 0 0 0 3
6Zayarthiri 0 30 30 50 6 0 0
7Pobbathiri 2 30 30 0 0 0 60
8Ottarathiri 2 9 0 0 2 0 0
STEP 2B: BASED ON THE PACKAGES OF INTERVENTIONS, TO REVIEW
PROXY FOR SERVICE AVAILABILITY

Availability of Essential Medicines and Equipment (stock out) (To be selected from
Drop down list)
  Township Amoxicillin Gentamicin
7.1% Chlorhexidine ORS stock out in Zinc tab stock DT/Syrup stock injection stock  TEO stock out in
for cord care stock out in last 3
last 3 months out in last 3 out in last 3 last 3 months
out in last 3 months months
months months
1 Pyinmana No stock out No stock out No stock out No stock out No stock out Stock out <3 mo
2 Lewei No stock out No stock out No stock out No stock out No stock out No stock out
3 Zabuthiri No stock out No stock out No stock out No stock out No stock out  
4 Dekkina No stock out No stock out No stock out No stock out No stock out No stock out
5 Tatkone No stock out No stock out No stock out No stock out No stock out Stock out>3 mo
6 Zayarthiri Stock out>3 mo No stock out No stock out No stock out No stock out No stock out
7 Pobbathiri No stock out No stock out No stock out No stock out No stock out Stock out <3 mo

8 Ottarathiri Stock out <3 mo No stock out No stock out No stock out No stock out No stock out
 STEP 3: BOTTLE NECK ANALYSIS
Highlight most important problems in implementation
• Misunderstanding of Data Dictionary&Definition
• Low performing townships for AN care
• No frequent health education and promotion / supervision
during COVID-19
 STEP 4: SOLUTIONS AND RECOMMENDATIONS BASED ON
IDENTIFIED TOP 3-5 PROBLEMS
• Misunderstanding of Data Dictionary&Definition

• Training for Data Dictionary &Definition

 STEP 4: SOLUTIONS AND RECOMMENDATIONS BASED ON
IDENTIFIED TOP 3-5 PROBLEMS
• Low performing townships for AN care
• Low percentage for PN care visit 2days after deli:
• Public and Private hospital visit were not included in HMIS
• Step by step supervision more important
 STEP 4: SOLUTIONS AND RECOMMENDATIONS BASED ON
IDENTIFIED TOP 3-5 PROBLEMS

• No frequent health education and promotion / supervision

during COVID-19

• Weakness in community involvement during covid

THANK YOU